- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,070.00 / $95,021.50 / $124,891.00
| Facility | | $65,070.00 | $95,021.50 | $124,891.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,400.07 / $82,790.85 / $140,029.57
| Facility | | $30,400.07 | $82,790.85 | $140,029.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,489.13 / $95,883.62 / $174,108.32
| Facility | | $68,489.13 | $95,883.62 | $174,108.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,849.14 / $106,516.50 / $155,522.76
| Facility | | $81,849.14 | $106,516.50 | $155,522.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,849.14 / $99,021.28 / $155,522.76
| Facility | | $81,849.14 | $99,021.28 | $155,522.76 |